Provider Demographics
NPI:1508656430
Name:AWITI UPENDO HEALTH SERVICES LLC
Entity type:Organization
Organization Name:AWITI UPENDO HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMEBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHNSON
Authorized Official - Middle Name:
Authorized Official - Last Name:AWIOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-631-4400
Mailing Address - Street 1:1265 REIFF RD
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-4437
Mailing Address - Country:US
Mailing Address - Phone:267-726-1493
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:1265 REIFF RD
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-4437
Practice Address - Country:US
Practice Address - Phone:267-726-1493
Practice Address - Fax:267-726-1493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care